INITIAL POST: COMPREHENSIVE HEALTH ASSESSMENT PATIENT
The patient profile I have been assigned is a 35-year-old white male with a history of morbid obesity with disabilities in a rural setting. This is a new patient whom I am assuming I have never met before. The first step is to build a relationship with the patient, this fosters trust between the nurse and patient. “A primary objective is to discover the details about a patient’s concern, explore expectations for the encounter, and display genuine interest, curiosity, and partnership. Identifying underlying worries, believing them, and trying to address them optimizes your ability to be of help” (Ball, J. W., et al. 2019). A thorough health history is important as it lays the groundwork to not only build a relationship, but to efficiently diagnose a health issue or illness, and treat these health issues and illnesses.
Communication with this age group needs to include non-medical jargon so the patient will understand the information presented. Medical jargon can be used but needs to be followed up with what the medical term means. Open ended communication is important to use, this gives the patient the ability to “fill in the blanks” with pertinent information. For example, asking the patient why they came to see you today, what health concerns they want to talk about, and keeping the conversation going by asking if there is anything else they would like to talk about. This can be added numerous times during the assessment to keep the patient talking about issues they may have.
Information needs to complete a health assessment can include, past medical history, family medical history, social history, present medications, lifestyle considerations like alcohol, drug use, and smoking history. A head-to-toe assessment also needs to be completed to determine if there are any other issues needed to address. This patient would need education regarding lifestyle changes needed related to obesity. A referral to a dietary consultant may be needed if the patient is ready to make changes to their diet. Patients who reside in rural areas have less access to nutritious foods due to distance needed to get to a store where they can buy these foods. Many rural areas have quick marts where people can get fast food, not necessarily nutritious foods.
Obesity can cause many other health risks including HTN, Diabetes, Joint issues, difficulty breathing, Sleep Apnea, skin issues like yeast infections, wounds, and Stroke. Obese patients can also have trouble with ADLs as the inability to care for themselves is common due to decreased energy and inability to complete personal cares. This patient is noted to have disabilities; this can be related to joint issues and inability to ambulate, bend, reach, and general muscular and joint problems.
In relation to a risk assessment, I would use preventative care including personal history, laboratory screening tests to rule out Diabetes, Prostate Cancer, Hypercholesterolemia, Infection, and a Comprehensive Metabolic Panel to determine if the patient had any blood related abnormalities and determine if the patient had any problems with kidney or liver function. I would also determine if the patient had any issues with Alcohol, Tobacco, or drug use as use of these can lead to disease. In my communication with the patient regarding these issues I would be sure to tell him I ask all my patients these questions. Sullivan, D.D. (2019) states, “Approaching these matters in a nonjudgmental, professional, matter of fact manner should enhance patient disclosure of sensitive information.”
Questions I would be sure to include in my health assessment:
1. How are you feeling today?
2. What would you like for us to do today?
3. What do you think is causing your symptoms?
4. What are your coping mechanisms when you feel sad, scared, or angry?
5. Do you have people in your life whom you can talk to?
I feel it is important to not only assess a patient’s physical well-being, but to also assess if they are happy with their lives and feel heard, happy, and involved in their own care.
References
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel's guide to physical examination: An interprofessional approach (9th ed.). 1(1-21). St. Louis, MO: Elsevier Mosby.
MediLexicon International. (n.d.). Morbid obesity: Symptoms, treatment, and outlook. Medical News Today. https://www.medicalnewstoday.com/articles/320460#complicationsLinks to an external site..
Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). 2(19-29). Philadelphia, PA: F. A. Davis
Nursing Restaurant Menu Assignment
Select what you would eat and drink for either breakfast, lunch, or dinner from your favorite restaurant. Choose a restaurant (example- red lobster, Dunkin donuts, chick fil, etc.)
You are to list specifically the breakdown of the nutritional content serving sizes, and calories of the meal you've eaten.
Example- Lunch Ex.- Red Lobster Parrot IsleJumbo Coconut Shrimp/ broccoli/ key lime pie/ Dr. Pepper
Compare its nutritional value to what MyPlate recommends (calories, protein, veg/fruit, etc.)
https://www.myplate.gov/myplate-plan
https://myplate-prod.azureedge.us/sites/default/files/2021-08/2020MyPlatePlan_2200cals_Age14%2B.pdf
Total up the calories for that particular meal. Calculate the remaining percentage for the day. Determine if this was a great choice.
Explain the consequences that eating such a meal would have on their overall health +/- (minimum 100 words)
Include what better substitutions would be if any and recalculate the nutritional valueYour MyPlate Plan.docx
My Plate calculations.docx
Patient Interview
What are the goals of a patient interview?
Name and described each component of the Patient History (Chief Complaint, History of Present Illness, etc.).
Describe an incident where you had used improper technique on measuring blood pressure, what did you learn from that incident?
What are the goals of a patient interview?
Name and described each component of the Patient History (Chief Complaint, History of Present Illness, etc.).
Describe a barrier when you had assess a patient from a different culture
NURS 6241: STRATEGIC PLANNING IN HEALTH CARE ORGANIZATIONS
Final Complete Project,"Course Project: Developing a Strategic Plan Section 5: Proposed Core Team of Change Champions In Week 4, you examined the benefits of stakeholder involvement and the negative consequences that may arise if this is not sufficiently addressed during strategic planning. This week you have been considering how to leverage the influence of change champions and facilitate team building to promote the successful implementation of a proposed change.How would you create a core team of change champions for the change you are proposing through your Course Project? To prepare: Reflect on the results of your SWOT analysis (submitted in Week 7) and other elements of your strategic plan.Think about how effective stakeholder involvement would promote the successful adoption and implementation of your proposed change. Consider the following: What strategies would help you to develop a core team to generate buy-in for this change?Which stakeholders should be included in the process as change champions? How and when should they become involved?Begin to write a 1- to 2-page description of your core team of change champions. Section 6: Evaluation Plan Creating an evaluation plan is a critical part of developing a strategic plan. How would evaluation allow you to determine the cost benefits and effectiveness of your proposed change? To prepare: Reflect on the elements of your Course Project that you have developed thus far. Review the information on evaluation presented in the Learning Resources, and reflect on any insights you have gained from this week’s Discussion. (Week 11 Discussion)How would you evaluate the implementation of your strategic plan? Develop an evaluation plan that includes a timeline for evaluation. Be sure to incorporate refreezing. To complete: Write a 1- to 3-page explanation of your evaluation plan. Include the timeline for evaluation, and explain how you will incorporate refreezing.Note: This will be submitted as part of your Course Project this week. Section 7: Executive Summary As your development of a strategic plan comes to a conclusion, it is time to develop foundational pieces for your Course Project, including an executive summary.An executive summary provides an overview of your proposed change and allows your target audience to become acquainted with the essential elements of the strategic plan. Your executive summary should be informative and persuasive, delineating the business case for your proposed change. To prepare: Review the information in the Learning Resources related to developing an executive summary.Craft an executive summary that appeals to your target audience and presents key information related to your strategic plan. Be sure to describe the unmet need you are addressing and convey the urgency or significance of this problem. Clearly state your proposed change and substantiate your recommendation. To complete: Write an executive summary for your strategic plan.Note: This will be submitted as part of your Course Project this week. Section 8: References The inclusion of a reference list not only allows you to credit others’ work appropriately but also provides the information readers would need to read resources of interest to them and learn more about the underpinnings of your strategic plan. To prepare: Develop and/or refine the list of the resources cited in your strategic plan. To complete: Create your reference list to accompany your strategic plan. Comprehensive Course Project: Developing a Strategic Plan Over the past several weeks of this course, you have been developing elements of a strategic plan. As you prepare to submit your Course Project, reflect on what you have learned throughout this process. Also think about how you would like to convey the results of your analysis and planning to your target audience. Your Course Project must include information related to each section of the Course Project assigned in Weeks 6–11; however, you have some flexibility in terms of how you present it. You may wish to compare strategic plans from various groups and organizations and then develop a format that best suits your plan.Note: Your comprehensive Course Project serves as your Portfolio Assignment for this course. To complete: Create a strategic plan that includes essential information related to the following:Section 1: Summary of the IssueSection 2: SWOT AnalysisSection 3: Balanced ScorecardSection 4: Budgeting and Timeline ToolsSection 5: Proposed Core Team of Change ChampionsSection 6: Evaluation PlanSection 7: Executive SummarySection 8: References SECTION 1 - 2 - 3 - 4 are attached. PLEASE COMPLETE OTHER SECTIONS and need one comprehensive project submitted including each section. THis paper is worth 500 points and depending on this paper is my pass or fail.
Week 1 discussion
I need this work done for tomorrow morning.
This week's discussion is a two folds discussion. First, explain the role of the Psychiatric Mental Health Nurse Practitioner as it relates to the scope of psychotherapy. Second, explain how this week's discussion aligns with the following APNA standard:
Standard 5G: Therapeutic Relationship: Psychiatric-mental health registered nurse uses therapeutic relationship as the basis for interactions and the provision of care.
The student must answer the graded discussion with a substantive reply to the graded discussion question(s)/topic(s) posted by the course instructor by Thursday, 11:59 p.m. Eastern Time. Two scholarly sources references are required unless stated otherwise by your professor.
The student provides a substantive response to the discussion question or topic on Thursday day and posts a minimum of two additional responses to peers on another day(s). The answers to classmates must be posted by Sunday, 11:59 pm Eastern Time. We expect each student to participate in the discussion board in a respectful manner.
Remember that a new discussion rubric was approved by the professors, committee members, and a majority of the students. Please review the rubric before posting to ensure a maximum of points.
Here are the categories of the new discussion rubric:
Initial Post relevance to the topic of discussion, applicability, and insight. (20%)
Quality of Written Communication Appropriateness of audience and words choice is specific, purposeful, dynamic, and varied. Grammar, spelling, punctuation. (20%)
Inclusion of APNA standards essentials explored in the discussion as well as the role-specific competencies as applicable.(10%)
Rigor, currency, and relevance of the scholarly references. (Use articles that are below 5 years). (20%)
Classism in US Healthcare
Conceptualizing Classism: Define classism and its distinct characteristics within the context of healthcare. How does it differ from economic disparities?Deconstructing Barriers: Analyze the specific ways in which class structures within the healthcare system create barriers to access, quality care, and positive patient experiences. Consider factors like financial constraints, insurance limitations, lack of cultural competency, and implicit biasesCase Study Analysis: Choose a real-world example (news article, research study, personal narrative) that exemplifies the impact of classism on healthcare experiences. Critically analyze the case in light of the factors discussed above.
Culturally Competent Care: Propose concrete strategies for providing culturally competent care that acknowledges and respects the unique experiences and needs of patients from diverse socioeconomic backgrounds. Consider communication techniques, resource referrals, and addressing implicit biases.Advocacy and Policy: Analyze existing policies and initiatives aimed at reducing healthcare disparities based on socioeconomic status. Identify limitations and potential shortcomings. Propose specific policy changes or advocacy efforts that could promote greater equity and access.Personal Reflection: Reflect on your own assumptions and biases regarding class and its impact on healthcare. How can you utilize this self-awareness to become a more culturally competent and equitable healthcare provider?Summarize your key takeaways regarding the insidious nature of classism in US healthcare. Outline your proposed strategies for dismantling barriers and ensuring equitable care for all patients. End with a call to action, emphasizing the individual and collective responsibility of nurses in creating a more just and inclusive healthcare system
Nursing poster
Example of poster presentation topic could be: The effect of daily nurse workload on the client safety and client/nurse satisfaction. Back it up with EBP literature that will supports E.g, something like when unit is properly staff there would be less medication errors, reduce overtime, less burnout, more client /nurse satisfaction
The Power of Media to Influence Health Policy and Politics
1. Describe how Using the Power of Media to Influence Health Policy and Politics
2. Submit before Wednesday
3. Please use 2 APA references, no more than 400 words
4. Reply to 2 students no less 200 words using 1 APA reference before Saturday
Video Reflection
For this assessment, you will create a 5-10 minute video reflection that addresses either an interprofessional collaboration you experienced or a collaboration case study scenario that you imagine you experienced.","Competency 1: Explain strategies for managing human and financial resources to promote organizational health.
Identify how poor collaboration can result in inefficient management of human and financial resources supported by evidence from the literature.
Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.
Reflect on an interdisciplinary collaboration experience noting ways in which it was successful and unsuccessful in achieving desired outcomes.
Identify best-practice interdisciplinary collaboration strategies to help a team to achieve its goals and work more effectively together.
Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals.
Identify best-practice leadership strategies from the literature, which would improve an interdisciplinary team's ability to achieve its goals.
Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.
Communicate via video with clear sound and light.
The full reference list is from relevant and evidence-based (published within 5 years) sources, exhibiting nearly flawless adherence to APA format.
Using Kaltura, record a video (5–10 minutes) where you reflect on an interprofessional collaboration experience, proposing recommendations for how to improve interprofessional collaboration that can be shared with leadership and colleagues. Support these recommendations with references to the literature.
The interprofessional project that you reflect on may be one that you collaborated on at your current or former place of practice, or you may choose to imagine you collaborated on the interprofessional project presented in the Assessment 01 Supplement: Collaboration and Leadership Reflection Video [PDF] Download Assessment 01 Supplement: Collaboration and Leadership Reflection Video [PDF]resource and reflect on that.
Be sure that your assessment addresses the following criteria. Please study the scoring guide carefully so you will know what is needed for a distinguished score:
Reflect on an interdisciplinary collaboration experience, noting ways in which it was successful and unsuccessful in achieving desired outcomes.
Explain aspects of the collaboration that helped the team make progress toward relevant goals or outcomes.
Explain aspects of the collaboration that could have been improved.
Identify how poor collaboration can result in inefficient management of human and financial resources, citing supporting evidence from the literature.
Discuss the ways in which the interdisciplinary team did not collaborate effectively.
Discuss the negative implications for the human and financial resources of the interdisciplinary team and the organization as a whole.
Cite the literature for support.
Identify best-practice leadership strategies from the literature that would improve an interdisciplinary team's ability to achieve its goals, citing at least one author from the literature.
Identify at least one leadership best practice or strategy that you believe would improve the team's ability to achieve their goals.
Identify the strategy and its source or author and provide a brief rationale for your choice of strategy.
Cite the literature for support.
Identify best-practice interdisciplinary collaboration strategies to help a team achieve its goals and work together, citing the work of at least one author.
Identify at least one best practice or strategy for interdisciplinary collaboration to help the team achieve its goals and work more effectively together.
Identify the strategy, its source, and reasons why you think it will be effective.
Communicate in a professional manner, is easily audible, and uses proper grammar. Format reference list in current APA style.
Submit an APA-formatted reference list for any sources that you cited specifically in your video or used to inform your presentation.
The Example Kaltura Reflection will show you how to cite scholarly sources in the context of an oral presentation.
Notes:
Refer to the Campus tutorial Using Kaltura [PDF] as needed to record and upload your reflection.
If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact [email protected] to request accommodations.
If, for some reason, you are unable to record a video, please contact your faculty member as soon as possible to explore options for completing the assessment.
References: Cite at least 3 professional or scholarly sources of evidence to support the assertions you make in your video. Include additional properly cited references as necessary to support your statements.
APA Reference Page: Submit a correctly formatted APA reference page that shows all the sources you used to create and deliver your video.
You may wish to refer to the Campus APA Module for more information on applying APA style.
Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final Capstone course.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
Competency 1: Explain strategies for managing human and financial resources to promote organizational health.
Identify ways poor collaboration can result in inefficient management of human and financial resources, supported by evidence from the literature.
Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.
Reflect on an interdisciplinary collaboration experience, noting ways in which it was successful and unsuccessful in achieving desired outcomes.
Identify best-practice interdisciplinary collaboration strategies to help a team to achieve its goals and work together more effectively.
Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals.
Identify best-practice leadership strategies from the literature that would improve an interdisciplinary team’s ability to achieve its goals.
Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.
Communicate via video with clear sound and light.
The full reference list is from relevant and evidence-based (published within 5 years) sources, exhibiting nearly flawless adherence to APA format
Nutrition
Every day, people make choices that affect their physical health and wellness. Some choices are influenced by the environment and social factors, which in turn contribute to people’s health outcomes. Healthcare professionals (i.e., physicians, nurses, dietitians, sports medicine, etc.) are responsible for their own health by making decisions and practicing behaviors that enhance their wellbeing. Healthcare professionals also have a responsibility to their clients. While responsibilities may vary among healthcare professionals, it is important the healthcare team is alert to clients’ nutrition problems and needs.
After studying Module 1: Lecture Materials & Resources, answer the following:
In one paragraph, give at least 2 examples of how culture, society, politics, or religion influences your nutrition. Discuss the role that food plays in your family or personal life.
Navigate to Your Digestive System and How it Works: https://www.niddk.nih.gov/health-information/digestive-diseases/digestive-system-how-it-worksLinks to an external site. View the webpage and share in 1 paragraph at least 1 example of something your learned about the digestive system.
Search the internet for 1 example of an over-the-counter medication designed to treat common digestive problems such as heartburn, constipation, diarrhea, and hemorrhoids. Write 1 paragraph describing a) appropriate and inappropriate uses for this medication, and b) adverse health implications associated with misuse and/or overuse of this product.
Submission Instructions:
Your initial post should be at least 400 words, formatted, and cited in the current APA style with support from the textbook, the webpage provided, and the source for your example
